Adaptation of health and social services initiative 2018-2023

Adaptation of health and social services to enhance the vitality of English-speaking minority communities in Quebec
The CHSSN’s initiative to adapt health and social services is supported by an investment from Health Canada to increase the offer of health services targeted by Official Language minority community OLMCs. These innovative projects to improve access to health and social services are divided into three envelopes:

  • Networking, including support for the 25 NPI community based health network across the province (CHSSN’s NPI Project)
  • Knowledge Development – Innovative projects to improve access
  • Adaptation of the health system to improve access and knowledge on health determinants and the health status of English-speaking Quebecers (CHSSN’s Adaptation Project)

Click here “Building Together” CHSSN Exchange Conference 2017: See Presentation Materials

The Adaptation Project is based on : “The Action Plan for Official Languages – 2018-2023: Investing in Our Future: Pillar 2: Strengthening access to service” (https://www.canada.ca/en/canadian-heritage/services/official-languages-bilingualism/official-languages-action-plan/2018-2023.html) The health of individuals has been identified as one of the key determinants of strong, vital communities and Health Canada is investing a little over $130 million in French-speaking communities across Canada and over $49 million in English-speaking communities in the province of Quebec. One of the designated recipients of this funding in Quebec is the Community Health and Social Services Network (CHSSN). Through CHSSN, resources are provided to community partners and, by agreement with Quebec, to the public health and social services system. Hence, the “adaptation” of the health system to improve access, to increase the knowledge of health determinants and the health status of English-speaking Quebecers.

This initiative is being undertaken in partnership with the Ministère de la Santé et des Services sociaux (MSSS). An implementation agreement between CHSSN and the MSSS was concluded in order to incorporate the projects into Quebec’s initiatives to continue to improve access to health and social services in English.

The agreement also divided the roles and responsibilities among the CHSSN, the MSSS, and the Centres intégrés de santé et de services sociaux (CISSS) et centres intégrés universitaires de santé et de services sociaux (CIUSSS).

An invitation was sent out to the Centres intégrés de santé et de services sociaux (CISSS) et centres intégrés universitaires de santé et de services sociaux (CIUSSS) to submit projects by early April 2018. The Ministère was required to evaluate the admissibility of projects based on the orientations and priorities of the MSSS and submit to the CHSSN for evaluation and a decision.

The CHSSN project evaluation committee assessed the projects submitted to and selected by the MSSS and the following criteria:

  • Project’s relevance in terms of the proposed objective and deliverables;
  • Anticipated impact on English-speaking client groups;
  • Anticipated impact on service practices and organization;
  • Anticipated impact of the results on Programs of access of health and social services in English;
  • Cooperation between the public institutions and the community

The projects were adopted by the CHSSN’s board of directors, and contribution agreements were then approved by the Government of Quebec.

Adaptation- Innovative projects to improve access
Summary table of projects with the Centres intégrés de santé et de services sociaux (CISSS) et centres intégrés universitaires de santé et de services sociaux (CIUSSS)

Region Project Title
(01) Bas St-Laurent Improving access to health and social services for English-speaking people in the Bas-Saint-Laurent
(02) Saguenay-Lac St-Jean Develop a structure to facilitate access to health and social services for the English-speaking people of Saguenay-Lac -St-Jean
(03) Capitale nationale Continuity to support and improve access to health and social services for seniors, to individuals with special needs, intellectual disability, autism spectrum disorder and physical disability of the English-speaking community of la Capitale Nationale
(04) Mauricie and Centre du Québec Support for applying the program of access to health and social services in the English language for the English-speaking population
(05) Estrie Improvement of access and continuity of services provided to the English-speaking population of the Estrie region, strengthen community vitality with community partners (2018-2023)
(06) Montréal Improving access to health and social services for the English-speaking population in Montreal
(07) Outaouais Liaison officer – English speaking community; Translation of documents and tools; Sensitize and provide information about the access program for the English-speakers in the region of Outaouais
(08) Abitibi-Témiscamingue Improve the liaison between the English speaking clientele and adapted services.
(09) Côte Nord Overcoming the language barrier to provide quality services to everyone
(10) Nord-du-Québec Adapting health and social services in the English language in a structure-forming way at the CRSSS de la Baie-James: a share responsibility between jamesians and indigenous people
(11) Gaspésie-Iles-de-la-Madeleine Improved access to inter-regional health and social services for the English-speaking population of the Gaspésie-Îles-de-la-Madeleine
(12) Chaudière-Appalaches Raise awareness, inform and educate the English-speaking population;
Improving access to health and social services for the English-speaking population in of Chaudière-Appalaches
(13) Laval Project for improved access to English language services for clients with pervasive development disorder or intellectual disability, for troubled youth (requiring protection and reintegration) and for adults requiring mental health services
(14) Lanaudière Improve access to services for English-speaking Centres intégrés de santé et de services sociaux de Lanaudière
(15) Laurentides Project to adapt health and social services in the Laurentides region.
(16) Montérégie Project for improving and to support access to English-language health and social services for English-speaking people in the Montérégie region

CHSSN’s project will contribute to the immediate, intermediate and long-term outcomes of the Official Languages Health Contribution Program (OLHCP).

Central to CHSSN’s success is our implementation agreement with the Quebec Ministry of Health and Social services. This agreement enables community networks to collaborate with local services providers, regional planning authorities, and provincial decision-makers. We fully respect provincial jurisdiction in health and social services.